URA/ASYCUDAWorld A OFFICE OF DESTINATION

1 DECLARATION RADDEx No.

UGKLA
2 Exporter No. IM 7 KAMPALA CBC
LUCKY STAR GENERAL TRADING LLC Customs Reference
P.O.BOX : 293013 3 Forms 4 Load S 70803 17/07/2023
DUBAI
1 1 Manifest
UNITED ARAB EMIRATES
5 Items 6 Nbr packages 7 Reference number
TEL : 042827821
1 1 2023 AUTO_2023KEMBAD80

8 Consignee No. 1000742500 9 Financial No.

FREIGHT REACH SERVICES LIMITED

KAMPALA KAMPALA CENTRAL DIVI KAMPALA CENTRAL
DIVISION
KAMPALA
10 Cty f. dest 11 Trading 12 Value details 13 C.A.P.
CLOVILLE DIAMOND TRUST BUILDING FLOOR 6
2 6619 KAMPALA AE of KE cty. 0
14 Declarant No. 1028659970 15 Country of export 15 C.E. 17 C.D. Code

BEAM CARGO LOGISTICS LTD United Arab Emirates a AE b a UG b

KAMPALA CENTRAL DIVISION, KAMPALA C 16 Country of origin 17 Country of destination
KAMPALA CENTRAL DIVISION, KAMPALA C
Japan Uganda
18 Identity and nationality of means of transport at arrival / at 19 20 Delivery terms

KCQ127T/ZF8557 KE no CIF MSA

21 Identity and nationality of active means of transport crossing the 22 Currency & total amount 23 Exch. rate 24 Nature of

MICHEL MUTUKU+254796776973 KE USD 1,878.290 3,737.11 8 5 transac.

25 Mode 26 Inland mode 27 Place of loading/unloading 28 Financial and banking data Bank DTB
3 at border 3 Transport Terms of T01 CASH
29 Office of entry/exit 30 Location of goods DIAMOND TRUST BANK (U) LTD
UGMA MALABA STATION W0043
31 Packages Marks and numbers - Containers No(s) - Number and kind 32 Item 33 Commodity code
and
Marks & no MUGANZI CHARLES 1 No 87042190 201
descriptio
of goods USED NISSAN ATLAS CHS: SH40009987 34 Cty. orig. 35 Gross mass (kg) 36 Prefer.
of

Number and 1 NE a JP b 4,809.0000

Kind Unpacked or unpackaged 37 PROCEDURE 38 Net mass (kg) 39 Quota

Containers No
7181 000 2,000.0000
40 Summary declaration / Previous document S/L
Used other g.v.w. >2tonnes but not exceeding 7 tonnes
USED NISSAN ATLAS CHS: SH40009987 41 Supplementary units 42 Item Price 43 V.M.

44 Add. info Licence No D.Val D.Qty NMB 1.0000 1,878 cod

Document
Produced
0+0+0+0-0 A.I. Code 45 Adjustment

Certificate A.D.
and autho- Vin Number 46 Statistical value
rization
7,019,376
47 Calcul- Type Tax base Rate Amount M 48 Deferred payment 49 Identification of warehouse
ation of
taxes 102 7,019,376 25.00 1,754,844 0 W0043 270
105 7,019,376 6.00 421,163 0 B ACCOUNTING DETAILS
401 8,774,219 18.00 1,579,360 0 CASH
Mode of payment
122 7,019,376 20.00 1,403,875 0
Assessment number A 180926 / Date 17/07/2023
Receipt number Date

Guarantee 5,159,242 UGS Date

Total fees 0 UGS

Total 5,159,242 0 Total 0 UGS
50 Principal No. Signatur C OFFICE OF DEPARTURE

51 Intended Represented by
offices of Place and date
transit
.
country

52 Code 53 Office of destination and country

not valid

D CONTROL BY OFFICE OF DESTINATION Stamp: 54 Place and date

Declarant name/representative
Signatur Lydia Muhaise